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Prise en charge hospitalière et évolution à court terme des blessés graves: expérience Lausannoise. [Hospital management and short-term outcome of the severely injured: Lausanne experience]

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Název: Prise en charge hospitalière et évolution à court terme des blessés graves: expérience Lausannoise. [Hospital management and short-term outcome of the severely injured: Lausanne experience]
Autoři: Zangger, P., Chevalley, F., Moeschler, O.
Rok vydání: 2025
Sbírka: Université de Lausanne (UNIL): Serval - Serveur académique lausannois
Témata: Adolescent Adult Aged Aged, 80 and over Female Humans Injury Severity Score Male Middle Aged Outcome Assessment (Health Care) *Trauma Severity Indices Wounds and Injuries/*classification/mortality/*therapy
Popis: Several physiological and anatomical methods of scoring severely injured patients have been developed since the 1970s, based on very large series of patients. In this study, 59 patients are assessed by the ISS (Injury Severity Score) and the RTS (Revised Trauma Score). The mean ISS is 28, and the mean RTS is 6; the overall evolution shows a 42.4% mortality. Analysis by the TRISS method shows 12 out of 18 "unexpected" deaths, the majority of which can be explained by the fact that the ISS underestimates severe neurological trauma, and that the RTS is not consistently obtained in the early patient notes in our emergency care system.
Druh dokumentu: article in journal/newspaper
Jazyk: unknown
ISSN: 0001-6462
Relation: Acta Orthopaedica Belgica; https://iris.unil.ch/handle/iris/217137; serval:BIB_B80727A7BEE6; 8484322
Dostupnost: https://iris.unil.ch/handle/iris/217137
Přístupové číslo: edsbas.918E29A0
Databáze: BASE
Popis
Abstrakt:Several physiological and anatomical methods of scoring severely injured patients have been developed since the 1970s, based on very large series of patients. In this study, 59 patients are assessed by the ISS (Injury Severity Score) and the RTS (Revised Trauma Score). The mean ISS is 28, and the mean RTS is 6; the overall evolution shows a 42.4% mortality. Analysis by the TRISS method shows 12 out of 18 "unexpected" deaths, the majority of which can be explained by the fact that the ISS underestimates severe neurological trauma, and that the RTS is not consistently obtained in the early patient notes in our emergency care system.
ISSN:00016462